If you are interested in receiving counseling services, please call the Briskin|Wilder Welcome Center at 310-271-9999 and our Care Associate will assist you.
In order to proceed with your intake appointment, Maple Counseling kindly requests payment of the non-refundable $35.00 intake fee. You can complete this payment by clicking the link below when instructed by our Care Associate.
There are 2 different options to submit the Intake Form
All intake forms must be submitted the day before your intake appointment.
This ensures your therapist will be able to familiarize him/herself with this important information before your intake appointment. Thank you for your cooperation.